I left conventional medicine for a simple reason: I couldn't keep practicing in a way I didn't believe in. Three hours of charting at night. Prior authorization battles. Thirty-minute visits where we barely scratched the surface — never enough time to ask about your diet, your sleep, how you're handling stress, whether you're moving your body. And yet those are the things that matter most. I built this practice to finally have those conversations — with patients who are ready to have them.
Dr. Tatiana specializes in cardiometabolic health, women's hormone health, pediatric nutrition and wellness, and complex chronic illness — creating a safe and welcoming space for families and individuals seeking lasting healing.
This is a direct-pay practice, allowing Dr. Pestana to focus entirely on what matters most: time, trust, and transformation.
"When I found Dr Pestana, she was just starting with functional medicine. Throughout the time I have spent with her I have found a place where my body is starting to make sense. The first time we spoke, she guessed (and was correct) that I had a genetic mutation that had been making living in my body an absolute misery.
I was so fatigued I feared I wouldn’t be able to keep up with my family, continue in my career in healthcare, or have any quality of life. My body was doing things I didn’t recognize, my hormones were making everyone, including myself, miserable and I was so discouraged by medical professionals.
I have found a place where I’m free to have a conversation with someone who listens with compassion and answers with evidence based medicine and encouragement. A place to lay my fears.
Some of my favorite parts of the membership are the patient portal, and the monthly check-ins. If I have a question, she’s just a click away. When was the last time your primary sent you an email just to check in?
Now, I am thriving. In the past month I have had the energy to keep up with my kids, the ability to come home from work without the need to turn into a lump, and prayed in thanksgiving that I’ve found a way through.
I have an advocate. Someone to find the real reason I felt so so bad without rushing me out. The root cause matters!! Otherwise you’re just going to multiple doctors who only treat one thing until you just feel like a puzzle with a bunch of pieces and nothing makes sense. The appointments with Dr Pestana are a place for us both to be curious about symptoms, collaborate on treatment options and create a whole body focused wellness plan. You will not be rushed, your questions will be answered. 20/10 recommend!!!" -RP

"I wanted to take a moment to share my wellness journey that I began with Dr. Pestana six months ago. When I started, I truly believed I was ready to make a change, and I told myself that 2026 would be the year I got back on track with my health.
The program I joined, Restored and Radiant, is a six-month program. I hoped it would help me regain balance, as I had very little energy and felt that no matter what I did, I just couldn’t recover after COVID, especially while going through menopause.
When I first met Dr. Pestana, she walked me through the program in a very informative session. I quickly realized that for this to work, I would need to commit 100%.
My journey started off slowly, as I was also working with an acupuncturist and a chiropractor. At times, the program felt challenging because I had taken on too much at once. However, when I shared this with Dr. Pestana, she immediately reassured me that we could go at a slower pace to better suit my needs. Her priority was my success. She provided helpful tools along the way, and after every session, I received notes through her portal that I could refer to.
Fast forward to today—through the gradual implementation of self-care, along with the supplements and guidance from the program, I feel so much better. I have more energy and am able to accomplish much more without feeling constantly exhausted. While I still have a few areas to work on, I am grateful that I stayed committed and did not give up when I felt overwhelmed.
Thank you, Dr. Pestana, for not only helping me get my health back on track, but also for accommodating my very busy schedule and ensuring I could maintain my monthly appointments." --Anonymous







How we evaluate: Dutch testing, thyroid/adrenal assessments, menstrual and menopausal patterns. Why it matters: Balanced hormones mean better energy, mood, and sleep — and ultimately, the ability to feel more like yourself again every day, so you can restore confidence in your body, your health, and your future.

At Pestana Comprehensive Wellness, we don’t just manage symptoms—we uncover the root causes. Using advanced functional medicine tools and over two decades of clinical experience, we help patients achieve lasting improvements in energy, weight, hormones, and overall well-being.

How we evaluate: Advanced lipid panels, inflammation markers, glucose/insulin dynamics.
How we help: Food as medicine, targeted supplements, lifestyle coaching, medications if needed.

How we evaluate: Advanced labs, body composition analysis, genetic and lifestyle factors.
How we help: Nutrition, personalized exercise, GLP-1 therapy when appropriate, supplement support.

How we evaluate: GI-MAP testing, food sensitivity patterns, immune markers.
Why it matters: A healthy gut supports brain, immunity, hormones, and inflammation control.

How we evaluate: Mitochondrial health, genomics, nutrient status, sleep quality, stress load.
How we help: Nutrition, sleep optimization, adaptogens, mind-body techniques.

Our Approach: The Integrative Resilience Matrix
At Pestana Comprehensive Wellness, we don’t treat symptoms in isolation.
Dr. Tatiana Pestana’s Integrative Resilience Method™ looks at how your core systems — energy, hormones, metabolism, immunity, digestion, and stress balance — interact and adapt.
The goal: reveal what’s out of sync, restore balance, and keep it that way.

How it Works:
1. Reveal – We look deeper when standard tests are “normal.”
2. Recalibrate – We personalize nutrition, lifestyle, and, when needed, medications or hormone support.
3. Reinforce – We track progress and fine-tune for lasting results.

Real Results:
Normal Labs, Low Energy
A marathon runner’s routine tests were perfect, yet he felt drained. Advanced cortisol testing uncovered an abnormal curve. Now treatment can be tailored to the cause.
“IBS” That Wasn’t
A woman told to “live with” irritable bowel symptoms turned out to have low pancreatic enzyme output. With proper enzyme therapy, digestion and comfort improved.

What To Expect: